WE ARE EXPERIENCING AN ISSUE WITH OUR PRIMARY FAX NUMBER (214-297-0073).

FOR THE TIME BEING PLEASE SEND ALL FAXES TO 888-927-0630.

WE KINDLY REQUEST IF YOU HAVE FAXED ANYTHING INTO OUR OFFICE THIS LAST WEEK
TO PLEASE FAX TO 888-927-0630.

AS SOON AS THE ISSUE IS RESOLVED, WE WILL PROVIDE AN UPDATE.

Forms

We offer a number of forms in PDF form. Click on any of the forms below to download.

Adults

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New patient Forms / Information, Adult

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Download Telemedicine Consent Form

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Financial Policy / Consent to Treat forms

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Consent to Release Protected Health Information, HIPAA

Children

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New patient Forms / Information, Pediatric

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Financial Policy / Consent to Treat forms

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Consent to Release Protected Health Information, HIPAA

HIPAA / Release of Information

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HIPAA, Notice of Privacy Practices

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Medical release of information from Dr. Huang

This form allows us to release your medical records to another physician or if your relocate from the area.

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Medical release of information from other physicians or facilities to Dr. Huang

This form is how we obtain your old medical records from previous or referring physicians' offices.